Organization
THE VILLAGE PEDIATRIC & WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MONICA DEL CARMEN POURRAT MD (DOCTOR)
(301) 637-3005
Entity
Organization
Contact information
Practice address
50 W EDMONSTON DR STE 502, ROCKVILLE, MD 20852-1222
(301) 637-3005
(866) 890-7221
Mailing address
50 W EDMONSTON DR STE 502, ROCKVILLE, MD 20852-1222
(301) 637-3005
(866) 890-7221
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
D0062518
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10234246
—
MD
Enumeration date
03/11/2014
Last updated
03/11/2014
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